| Entity Name: | NORTH ORLANDO SPINE CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Jun 2009 (16 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 31 Mar 2021 (4 years ago) |
| Document Number: | L09000058248 |
| FEI/EIN Number | 37-1584924 |
| Address: | 2170 W SR 434, STE 252, LONGWOOD, FL 32779 |
| Mail Address: | 2170 W SR 434, STE 252, LONGWOOD, FL 32779 |
| ZIP code: | 32779 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407083777 | 2009-06-15 | 2024-07-17 | 2170 W STATE ROAD 434 STE 252, LONGWOOD, FL, 327794976, US | 2170 W STATE ROAD 434 STE 252, LONGWOOD, FL, 327794976, US | |||||||||||||||||||||
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| Phone | +1 407-331-9913 |
| Fax | 4073319918 |
Authorized person
| Name | DR. NICOLE LOUISE INGRANDO |
| Role | DOCTOR OF CHIROPRACTIC |
| Phone | 4073319913 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | CV491A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| INGRANDO, NICOLE L, Dr. | Agent | 2170 W SR 434, SUITE 252, LONGWOOD, FL 32779 |
| Name | Role | Address |
|---|---|---|
| INGRANDO, NICOLE L, DR. | Authorized Member | 2170 W SR 434, STE 252, LONGWOOD, FL 32779 |
| PROCTOR, AARON, DC | Authorized Member | 2170 W SR 434, STE 252 LONGWOOD, FL 32779 |
| Sproat, Adam | Authorized Member | 2170 W SR 434, STE 252, LONGWOOD, FL 32779 |
| Name | Role | Address |
|---|---|---|
| Ingrando, Vincent Michael | Manager | 2170 W SR 434, SUITE 252 LONGWOOD, FL 32779 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-14 | 2170 W SR 434, SUITE 252, LONGWOOD, FL 32779 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-30 | 2170 W SR 434, STE 252, LONGWOOD, FL 32779 | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-30 | 2170 W SR 434, STE 252, LONGWOOD, FL 32779 | No data |
| LC AMENDMENT | 2021-03-31 | No data | No data |
| LC AMENDMENT | 2019-11-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-04-25 | INGRANDO, NICOLE L, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-25 | 2160 W SR 434, SUITE 108, LONGWOOD, FL 32779 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-14 |
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-01-25 |
| LC Amendment | 2021-03-31 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-16 |
| LC Amendment | 2019-11-01 |
| ANNUAL REPORT | 2019-01-30 |
| ANNUAL REPORT | 2018-01-10 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7294247101 | 2020-04-14 | 0491 | PPP | 2160 W SR 434 108, LONGWOOD, FL, 32779 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 24 Feb 2025
Sources: Florida Department of State
